世界最新医学信息文摘（连续型电子期刊）
世界最新醫學信息文摘（連續型電子期刊）
세계최신의학신식문적（련속형전자기간）
World Latest Medicine Information
2015年
66期
75-76
,共2页
中药紫银荷冰汤%经口气管插管%口腔护理
中藥紫銀荷冰湯%經口氣管插管%口腔護理
중약자은하빙탕%경구기관삽관%구강호리
Chinese herbal medicine Zi Yin He Bing Tang%Orotracheal intubation%Oral care
目的：探讨中药紫银荷冰汤对 ICU 经口气管插管患者口腔护理的临床效果。方法将40例 ICU 经口气管插管患者，随机分为实验组(n=20)和对照组(n=20)，实验组自制中药紫银荷冰汤进行口腔护理，每天2次；对照组按常规操作采用生理盐水进行口腔护理，每天2次。对两组患者口腔护理的效果进行比较。结果实验组患者口腔护理效果明显优于对照组患者，与对照组比较，实验组患者口臭发生率为10.0％、口腔溃疡发生率为7.5％、霉菌感染发生率为5.0％，呼吸机相关性肺炎发生率为5.0%，均明显降低，经统计学分析，差异均有统计学意义(P<0.05)。结论对留置气管插管 ICU 患者应用中药紫银荷冰汤口护液进行口腔护理，可降低口臭、口腔溃疡、霉菌感染发生率，显著改善患者口腔卫生状况，降低 VAP 的发生率。
目的：探討中藥紫銀荷冰湯對 ICU 經口氣管插管患者口腔護理的臨床效果。方法將40例 ICU 經口氣管插管患者，隨機分為實驗組(n=20)和對照組(n=20)，實驗組自製中藥紫銀荷冰湯進行口腔護理，每天2次；對照組按常規操作採用生理鹽水進行口腔護理，每天2次。對兩組患者口腔護理的效果進行比較。結果實驗組患者口腔護理效果明顯優于對照組患者，與對照組比較，實驗組患者口臭髮生率為10.0％、口腔潰瘍髮生率為7.5％、黴菌感染髮生率為5.0％，呼吸機相關性肺炎髮生率為5.0%，均明顯降低，經統計學分析，差異均有統計學意義(P<0.05)。結論對留置氣管插管 ICU 患者應用中藥紫銀荷冰湯口護液進行口腔護理，可降低口臭、口腔潰瘍、黴菌感染髮生率，顯著改善患者口腔衛生狀況，降低 VAP 的髮生率。
목적：탐토중약자은하빙탕대 ICU 경구기관삽관환자구강호리적림상효과。방법장40례 ICU 경구기관삽관환자，수궤분위실험조(n=20)화대조조(n=20)，실험조자제중약자은하빙탕진행구강호리，매천2차；대조조안상규조작채용생리염수진행구강호리，매천2차。대량조환자구강호리적효과진행비교。결과실험조환자구강호리효과명현우우대조조환자，여대조조비교，실험조환자구취발생솔위10.0％、구강궤양발생솔위7.5％、매균감염발생솔위5.0％，호흡궤상관성폐염발생솔위5.0%，균명현강저，경통계학분석，차이균유통계학의의(P<0.05)。결론대류치기관삽관 ICU 환자응용중약자은하빙탕구호액진행구강호리，가강저구취、구강궤양、매균감염발생솔，현저개선환자구강위생상황，강저 VAP 적발생솔。
ABSTRACT:Objective To study on the clinical effect of application Chinese herbal medicine Zi Yin He Bing Tang on patients with orotracheal intubation in ICU with oral cavity nursing. Methods Forty patients with orotracheal intubation,in ICU during October 2013 to October 2014 monitoring were randomly divided into experimental group (n =20) and control group (n = 20), the experimental group homemade Chinese herbal medicine Zi Yin He Bing Tang for oral care, 2 times a day. Using normal saline control group routine oral care, 2 times a day. Comparison of the effects of two groups of patients with oral care. Results The experimental group patients oral care effect is significantly better than the control group patients, compared with control group, experimental group patients with bad breath rate is 10.0%, the incidence of oral cavity ulcer is 7.5%, the incidence of fungal infection was 5.0%, ventilator associated pneumonia, 5.0%, were significantly lower, after statistics analysis, the difference had statistical significance (P < 0. 0 5). Conclusion Application of Chinese herbal medicine Zi Yin He Bing Tang on ICU patients with indwelling endotracheal intubation for oral care, can reduce the bad breath, oral ulcer, fungal infection rate, significantly improve the oral health status of the patients, reduce the incidence of VAP.
